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  • Applications for the shoulder fellowship starting in 2017 is now open.
    Please apply by visiting the Unit and sending your CV to Jan Barker
    Visits to the Reading shoulder unit are welcome - Please liaise with Jan Barker [Read more]
  • RSU is advertising for shoulder fellowship to start in July 2017
    a post-CCT shoulder fellowship for One year. please send CV to Mrs Jan Barker and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • Coming up courses:

    The Reading Expert Shoulder Course 15-16 April 2019
    Instructional Course

    Smith & Nephew Expert Connect Centre Watford, United Kingdom
    15-16 April 2019
    Course Convener: Prof Ofer Levy (UK)

  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in idorth.com - Innovative Design Orthopaedics - [Read more]
  • Shoulder study day for Physiotherapists 26 February 2019 at 18:00 
    at the Royal Berkshire Hoapital.
    Please register your interest by e-mail to: Jonathon.Lee@RoyalBerkshire.NHS.uk [Read more]
  • For GPs - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • New Survey on usage of shoulder replacement prostheses.
    Take the survey [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK

    Bone Joint J 2013 vol. 95-B no. SUPP 27 25

    COMPLICATION RATES FROM THREE
    COMMONLY USED REVERSE POLARITY TOTAL
    SHOULDER REPLACEMENTS: A MINIMUM TWOYEAR
    FOLLOW-UP OF 64 CASES
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza 
  • Once again we are running the successful Reading Shoulder Arthroplasty Instructional Course on Friday,  30 September 2016
    • Re-Live surgery
    • Lectures
    • Discussions 
    • Clinical session with patients presentations
    • Hand-on workshop on models
    • Workshop for theatre nurses

    CME Points applied (6 CME Points approved by the BOA for the previous course)

      Register early - limited places

     
    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    Its use is launched soon in Australia & New Zealand. 

  • Excellent clinical results over more than 11 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The Reading Expert Shoulder Course 15-16 April 2019

    Instructional Course
     
    Smith & Nephew Expert Connect Centre Watford, United Kingdom
    15-16 April 2019
     
    Course Convener: Prof Ofer Levy (UK)

    Description

    The Reading Expert Shoulder Course is a two day advanced shoulder course. All the delegates are experienced shoulder surgeons and “All are Faculty”.

    Day One will cover arthroscopic techniques for treatment of complex instability, arthroscopic bone block, arthroscopic Latarjet, and Biceps procedures. Comparison of different methods of rotator cuff repair, various approaches to manage the massive rotator cuff tear, Suprascapular nerve release and more.

    Day Two will cover advances and innovations in total shoulder replacement, especially reverse TSA and stemless rTSA.
    The course will involve lecture-based discussions but is primarily a cadaver lab course with ample opportunity to practice the techniques taught in the Expert Connect Centre.

    Accreditation - Accredited by the Royal College of Surgeons of England.

    Participant profile

    This course is an advanced shoulder course aimed at experienced shoulder surgeons who want to further discuss and develop advanced arthroscopic and arthroplasty skills. Ideal candidates are Shoulder Consultant in first 3-4 years of practice, and even more experienced Consultants.


    Course Faculty


    International Faculty

    Prof Ettore Taverna - OBV Hospital Mendrisio, Switzerland
    Dr Carlos Torrens Canovas - Parc de Salut Mar, Spain
    Dr Juan Bruguera - Unidad de Hombro y Codo, Spain
    Dr Bernd Hinkenjann - St. Agnes Hospital Bocholt, Germany

    UK Faculty

    Mr Jaime Candal Couto - Northumbria Healthcare NHS Trust, UK
    Mr Roger Hackney - Leeds Teaching Hospitals NHS Trust, UK
    Mr Kapil Kumar - Aberdeen Royal Infirmary, UK
    Mr George Arealis – East Kent HUF Trust, UK
    Mr Amar Malhas - Royal Berkshire Hospital, UK
    Ms Julie McBirnie - Royal Infirmary of Edinburgh, UK
    Mr Hannan Mullett - Sports Surgery Clinic Ireland
    Mr Jai Relwani - William Harvey Hospital, UK
    Mr Sunil Sharma - Queen Margaret Hospital, UK
    Mr Giuseppe Sforza - Berkshire Independent Hospital, UK
    Mr Andreas Leonidou - Royal Berkshire Hospital, UK
    And the Reading Shoulder Unit team 

Reverse shoulder arthroplasty with a short metaphyseal humeral stem

Purpose:
Reverse shoulder prostheses have been gaining pop- ularity in recent years. A short metaphyseal stem design will allow bone stock preservation and minimize stem related complications. We examined the clinical and radiographic short-term outcome of a short metaphyseal stem reverse shoulder arthroplasty.

Methods:
Thirty-one patients, with a mean follow-up of 36 months (24–52), were evaluated clinically with the Constant-Murley score, patient satisfaction and pain relief scores. The fixation of the glenoid and humeral components, subsidence and notching were evaluated on radiographs. The indications were cuff tear arthropathy (22), fracture sequelae (five) and rheumatoid arthritis (four).

Results: 
The average Constant score improved from 12.7 (range two to 31) pre-operatively to 56.2 (range 17–86) post- operatively. It rose from 13.5 to 58.3 in patients with Cuff arthropathy, from 15.8 to 62.0 in revision arthroplasty, from 10.2 to 47.4 in those with fracture sequelae, and from 11.5 to 55.3 in patients with rheumatoid arthritis. The overall mean patient satisfaction score improved from 2.4/10 to 8.5/10 and mean pain score improved from 0.8/15 to 12.5/15. We found an overall improvement in active forward flexion from 46.8 to 128.5° and from 41.6 to 116.5° in abduction. No humeral loosening or subsidence was observed. Two cases of grade 1– 2 glenoid notching were reported. Overall there were three intra-operative fractures that did not affect the operation and healed without affecting the good results. There were five late traumatic periprosthetic fractures, only one of them required a revision surgery to a stemmed implant and the rest healed without surgery. There were two early dislocations that had to be revised.

Conclusions: 
The clinical and radiographic evaluation of a bone preserving metaphyseal humeral component in reverse shoulder arthroplasty is promising, with good clinical results, no signs of loosening or subsidence. 


(International Orthopaedics (SICOT) DOI 10.1007/s00264-014-2328-8 Published online: 6 April 2014)